Implementing a Social Accountability Approach for Maternal, Neonatal, and Child Health Service Performances in Ethiopia: A Pre-Post Study Design

Argaw, Mesele Damte; Fekadu, Binyam D; Mamo, Elias; Abebe, Melkamu Getu; Rogers, Deirdre; Demelash, Anteneh; Ayele, Aklilu A; Reda, Zinabu; Tareke, Amare S; Erfo, Alemu M; Wonjalo, Wegayehu W; Bele, Temesgen Ayehu; Ayede, Assefa; Abebe, Lidya G

doi:10.9745/ghsp-d-20-00114

Cited by 7 publications

(4 citation statements)

References 15 publications

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“…The features of mobile technologies that may make them particularly appropriate for improving health care service delivery processes relate to their popularity, their mobility, and their technological capabilities. The mobility and popularity of mobile technologies means that many people carry their mobile phone with them wherever they go [10]. This allows temporal synchronisation of the intervention delivery and allows the intervention to claim people's attention when it is most relevant.…”

Section: Theoretical Reviewmentioning

confidence: 99%

“…They also identified higher levels of community engagement in districts where the chiefs of maternal and newborn health councils were engaged [18]. Social accountability approaches, such as the community scorecard (CSC), can improve the performance of health systems in low-income countries by providing a mechanism for obtaining and incorporating community input [10]. The implementation of a community scorecard approach enhances a culture of social accountability, transparency, and engagement of citizens in planning, implementing, and evaluating maternal, neonatal, and child health services.…”

Section: Literature Reviewmentioning

confidence: 99%

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Moderating Effect of Mobile Technology on the Relationship Between Health Systems Governance and Service Delivery in National Referral Hospitals in Kenya

Abdi,

Guyo,

Moronge

2024

ejmhr

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In recent years, there is an increased attention to build formidable health systems governance to promote the highest attainable standard of health service delivery which has become a fundamental part of our human rights and of our understanding of a life in dignity. The health systems governance through the establishment of health policy has taken on increasing importance in the provision of health care services in the health institutions. The public hospitals in Kenya have weak health systems governance attributed to the existing health policy affecting quality healthcare. The current study sought to examine the moderating effect of mobile technology on the relationship between health systems governance and service delivery in National Referral Hospitals in Kenya. The study was anchored to the Contingency Leadership Theory. The study identified six categories of the target respondents, namely, 5 directors, 43 board members and 88 head of departments. The study used regression analysis to analyze the association between the variables at 0.05 level of significance. Results revealed that mobile technology positively and significantly moderated the relationship between health systems governance and service delivery in national referral hospitals in Kenya. The results support the current theories related to the study. Consequently, this study provides national referral hospitals with insights of how to improve health care service delivery through the adoption of appropriate mobile technology and health systems governance in the national referral hospitals. This could go a long way in ensuring there is improved service delivery in the national referral hospitals in Kenya. The implications of the study are that the moderating effect of mobile technology on the relationship between health systems governance and healthcare service delivery in Kenyan hospitals can lead to positive outcomes such as improved communication, data management, and patient-centered care. However, it also presents challenges that need to be carefully addressed through appropriate governance mechanisms. The successful integration of mobile technology requires a comprehensive and adaptive approach to healthcare governance in the national referral hospitals in the country.

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Section: Theoretical Reviewmentioning

confidence: 99%

Section: Literature Reviewmentioning

confidence: 99%

Moderating Effect of Mobile Technology on the Relationship Between Health Systems Governance and Service Delivery in National Referral Hospitals in Kenya

Abdi,

Guyo,

Moronge

2024

ejmhr

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“…In the World Development Report 1993, the World Bank identified social accountability as one of the important tools for health reform in countries ( 8 ) and social accountability has been recognized as a key concept for health care reform since the 1990s mainly in developing countries ( 9 – 10 ).…”

Section: Introductionmentioning

confidence: 99%

Social Accountability in Health System Governance: A Scoping Review

Nejatian,

Arab,

Takian

et al. 2024

ijph

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Background: Social accountability is an important element in health system governance, which is necessary for health system reform and reaching Universal Health Coverage. Understanding the social accountability mechanism and tools will help policymakers to design policies according to the context. We aimed to explore the extent of the application of social accountability in health system governance, its results, challenges, and tools. Methods: We conducted a scoping review study, using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) extension for scoping review. An inclusive search in bibliographic databases and search engines was done to identify peer review articles and grey literatures, published in English in the range of 2010 to 2021. Search terms were (social accountability), (public accountability), AND (health system). Results: Thirty-one records met inclusion criteria from 286 potentially relevant sources, which included 25 peer-review articles and 6 grey literatures. Maternal and child health was the main health subject for social accountability interventions. We identified some social accountability tools to apply at the health facility and community levels. Social accountability has some benefits for the health system and for the community and some challenges to the implementation of social accountability were listed. Conclusion: Social accountability improves health system performance. It contains different tools and strategies applied at different levels of the health system. Successful social accountability initiatives that are strategic, multi-interventional, and context-specific can produce good results in health services and social domains.

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“…(Yitbarek et al, 2019 ). The feedback gathered quarterly is supposed to be discussed at health facility level where areas of improvement and improvement plans are recorded and submitted to the regional health bureaus for verification (Argaw et al, 2021 ). Good examples of community score card success are cases whereby health facilities have created more focus on respectful and compassionate care, while citizens' demands for running water or upgraded toilet facilities at clinics have led to budgets for such improvements being made available by local authorities (Argaw et al, 2019 ).…”

Section: Introductionmentioning

confidence: 99%

Conducting rapid research to aid the design of a health systems governance intervention in the Somali Region of Ethiopia

Pieterse

2022

Front. Sociol.

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IntroductionThe rapid research described in this chapter was conducted as an assignment for a UN agency in Ethiopia's Somali Region. The agency's aim was support the implementation of an interim citizen engagement intervention, with a view of supporting of the Ethiopian Government's Citizen Score Card at primary healthcare facilities and hospitals in future. Many health facilities in Somali Region struggle with budget shortages related to ineffective budget planning and budget execution at woreda health office levels. In this context, an intervention to first improve budget accountability, through the implementation of citizen audits, was proposed.MethodologyThe rapid study focused on five woredas (districts) within Somali Region, where interviews were conducted with the heads of woreda health offices. In the same five woredas, directors of healthcare facilities were interviewed and offices and healthcare facilities were observed. The framework of assessment and analysis was based on health systems literature on fragile and conflict affected states guided the questions for the health authorities and health facility management.FindingsThe research yielded five distinct mini case studies covering woreda health office planning and budgeting capacity and support (or lack thereof), and related impressions of challenges regarding healthcare delivery at health facilities in the same five woredas.ResultsThe findings demonstrated that the capacity for healthcare planning and budgeting Somali Region at woreda level varied significantly and that little guidance was available from regional level health authorities. Frontline health services clearly suffered from budget shortages as a result.ConclusionThe research provided an evidence base for the delay of the roll-out of the Community Scorecard implementation across Somali Region. In a context whereby health facilities remain under-resourced due to budgeting constraints, a citizen-service provider-focused accountability intervention would have been of limited utility. The rapid case study research, conducted by condensing the usual case study research process, allowed for the production of evidence that was “robust enough” to demonstrate heterogeneity and challenges regarding budgeting quality across the five research sites. This evidence clearly transcended the hitherto anecdotal evidence that woreda-level health budget planning remains an area that faces significant shortcomings.

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Implementing a Social Accountability Approach for Maternal, Neonatal, and Child Health Service Performances in Ethiopia: A Pre-Post Study Design

Cited by 7 publications

References 15 publications

Moderating Effect of Mobile Technology on the Relationship Between Health Systems Governance and Service Delivery in National Referral Hospitals in Kenya

Moderating Effect of Mobile Technology on the Relationship Between Health Systems Governance and Service Delivery in National Referral Hospitals in Kenya

Social Accountability in Health System Governance: A Scoping Review

Conducting rapid research to aid the design of a health systems governance intervention in the Somali Region of Ethiopia

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